MEDICARE: ARQUITA MOORE-MCCAIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	92526	TN

General Provider Information

NPI Number	:	1912869249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARQUITA MOORE-MCCAIN

Provider Business Mailing Address
First Line	:	4057 CHESAPEAKE WAY
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38125-2653
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4057 CHESAPEAKE WAY
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38125-2653
Country	:	US
Telephone Number	:	901-515-7090
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2025
Last Update Date	:	11/25/2025

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Directions to “ ARQUITA MOORE-MCCAIN ” Practice Location

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